6
Of course Dick McMahon was by then dead. Of course he had died under circumstances that would not appear in the least out of order: the notification to the nursing agency at noon on June 27 that Mr. McMahon’s night shift would no longer be required; the predictable midnight emergency twelve hours later; the fortuitous and virtually simultaneous arrival at the house in Sweetwater of the very attentive young doctor; the transfer in the early morning hours of June 28 to the two-bed room at the Clearview Convalescent Lodge in South Kendall; the flurry of visits over the next thirty-six hours from the very attentive young doctor and then the certification of the death.
It would not be unusual at this facility to see a degree of agitation in a new admission.
Nor would it be unusual, given the extreme agitation of this new admission, if a decision were made to increase sedation.
Nor would it be unusual, given the continuing attempts of this extremely agitated new admission to initiate contact with the patient in the other bed, to effect the temporary transfer of the patient in the other bed to a more comfortable gurney in the staff smoking lounge.
Nor would it be unusual if such an extremely agitated and increasingly ill new admission were, the best efforts of his very attentive young doctor notwithstanding, to just go. “Just going” was how dying was characterized at the Clearview Convalescent Lodge, by both patients and staff. He’s just going. He just went.
Nor would there be need for an autopsy, because whatever happened would be certified as having happened in a licensed care facility under the care of a licensed physician.
There would be nothing out of order about the certification.
Without question Dick McMahon would be gone by the time he was certified dead.
Which was, according to the records of the Clearview Convalescent Lodge in South Kendall, at 1:23 a.m. on the morning of June 30. Since certification occurred after midnight the bill submitted for reimbursement under Medicare A was for three full nights, June 28, 29 and 30. Policyholder deceased 171.4 was the notation placed on the Medicare A billing in the space provided for Full Description of Condition at Discharge Including Diagnostic Code.
McMAHON, Richard Allen: age 74, died under care of physician June 30, 1984, at Clearview Convalescent Lodge, South Kendall. No services are scheduled.
So read the agate-type notice appearing in the vital statistics column, which was compiled daily to include those deaths and births and marriages entered into the previous day’s public record, of the July 2 1984 edition of the Miami Herald.
It could have been established, by anyone who cared to check the nursing agency’s file on Mr. McMahon, that the June 27 call ordering the cancellation of Mr. McMahon’s night shift had been placed by a woman identifying herself as Mr. McMahon’s daughter.
It would remain unestablished who had placed the midnight call to the very attentive young doctor.
Because no one asked.
Because the single person who might have asked had not yet had the opportunity to read the agate-type notice appearing in the vital statistics column of the July 2 1984 edition of the Miami Herald.
Because the single person who might have asked did not yet know that her father was dead.
By the way. I wouldn’t call your dad. I’m keeping him in the picture about where you are and what you’re doing, but I wouldn’t call him.
Because it wouldn’t be smart.